Individual
DR. LILIAN QUESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Mailing address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235992
—
CT
01
—
008832
DENTIST LICENSE
CT
01
—
30451
CONTROLLED SUBSTANCE
CT
Enumeration date
01/26/2006
Last updated
11/29/2012
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